PDF herunterladen
Semin Plast Surg 2006; 20(1): 024-029
DOI: 10.1055/s-2006-932446
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

A Classification of Contour Deformities after Massive Weight Loss: Application of the Pittsburgh Rating Scale

Angela Y. Song1 , Jim P. O'Toole1 , Raymond D. Jean2 , Dennis J. Hurwitz3 , Madelyn H. Fernstrom4 , John A. Scott4 , J. Peter Rubin1
  • 1Division of Plastic Surgery, Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 2Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 3Private Practice
  • 4Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
26. Januar 2006 (online)

Auch verfügbar auf
    Lizenzen und Reprints

ABSTRACT

Contour deformities after post-bariatric surgery weight loss are varied and often complex. Existing classification systems do not adequately address the various post-weight loss deformities that can occur in every part of the body. At the University of Pittsburgh, we have devised the Pittsburgh Rating Scale, a classification system that allows grading of 10 areas of the body on a four-point scale. The scale has been validated in a previous study. Currently, the scale is being applied during our initial assessment of the post-bariatric surgery weight loss patient. We have found that accurate classification can assist the surgeon in operative planning. The scale is useful in both classifying the individual deformities in a specific region and performing a comprehensive assessment.

KEYWORDS

Bariatric surgery - body contouring classification - weight loss - abdominoplasty - brachioplasty - buttocks - thighplasty

REFERENCES

  • 1 Gastric bypass surgery popularity leads to jump in plastic surgery procedures. Press Release: American Society of Plastic Surgeons March 10, 2003
    Suche in Google Scholar
  • 2 Association of peri Operative Registered Nurses . AORN bariatric surgery guideline.  AORN J. 2004;  79 1026-1040
    CrossrefPubMedSuche in Google Scholar
  • 3 Dabb R W, Hall W W, Baroody M, Saba A A. Circumferential suction lipectomy of the trunk with anterior rectus fascia placation through a periumbilical incision: an alternative to conventional abdominoplasty.  Plast Reconstr Surg. 2004;  113 727-732
    PubMedSuche in Google Scholar
  • 4 Ersek R A, Salisbury A V. The saddle lift for tight thighs.  Aesthetic Plast Surg. 1995;  19 341-343
    CrossrefPubMedSuche in Google Scholar
  • 5 Morales Gracia HJ. Circular lipectomy with lateral thigh-buttock lift.  Aesthetic Plast Surg. 2003;  27 50-57
    CrossrefPubMedSuche in Google Scholar
  • 6 Guerrerosantos J. Secondary hip-buttock-thigh plasty.  Clin Plast Surg. 1984;  11 491-503
    PubMedSuche in Google Scholar
  • 7 Hurwitz D J. Single-staged total body lift after massive weight loss.  Ann Plast Surg. 2004;  52 435-441
    PubMedSuche in Google Scholar
  • 8 Jemec B I. Body lift.  Aesthetic Plast Surg. 1982;  6 243-245
    CrossrefPubMedSuche in Google Scholar
  • 9 Lockwood T E. Fascial anchoring technique in medial thigh lift.  Plast Reconstr Surg. 1988;  82 299-304
    CrossrefPubMedSuche in Google Scholar
  • 10 Lockwood T E. Transverse flank-thigh-buttock lift with superficial fascial suspension.  Plast Reconstr Surg. 1991;  87 1019-1027
    PubMedSuche in Google Scholar
  • 11 Lockwood T. Lower body lift with superficial fascial system suspension.  Plast Reconstr Surg. 1993;  92 1112-1122
    PubMedSuche in Google Scholar
  • 12 Lockwood T. Brachioplasty with superficial fascial system suspension.  Plast Reconstr Surg. 1995;  96 912-920
    PubMedSuche in Google Scholar
  • 13 Lockwood T. High-lateral-tension abdominoplasty with superficial fascial system suspension.  Plast Reconstr Surg. 1995;  96 603-615
    CrossrefPubMedSuche in Google Scholar
  • 14 Lockwood T. Reduction mammaplasty and mastopexy with superficial fascial system suspension.  Plast Reconstr Surg. 1999;  103 1411-1420
    PubMedSuche in Google Scholar
  • 15 Shestak K C. Marriage abdominoplasty expands the mini-abdominoplasty concept.  Plast Reconstr Surg. 1999;  103 1020-1031
    CrossrefPubMedSuche in Google Scholar
  • 16 Pascal J F, Le Louarn C. Remodeling body lift with high lateral tension.  Aesthetic Plast Surg. 2002;  26 223-230
    CrossrefPubMedSuche in Google Scholar
  • 17 Pitanguy I. Evaluation of body contouring surgery today: a 30-year perspective.  Plast Reconstr Surg. 2000;  105 1499-1514
    CrossrefPubMedSuche in Google Scholar
  • 18 Rohrich R J, Raniere Jr J, Kenkel J M, Beran S M. Operative principle for optimizing results in circumferential body contouring with ultrasound-assisted lipoplasty.  Clin Plast Surg. 1999;  26 305-316
    PubMedSuche in Google Scholar
  • 19 Weniger F G, Calvert J W, Newton E D. Liposuction of legs and ankles: a review of literature.  Plast Reconstr Surg. 2004;  113 1771-1785
    PubMedSuche in Google Scholar
  • 20 Strauch B, Greenspun D, Levine J, Baum T. A technique of brachioplasty.  Plast Reconstr Surg. 2004;  113 1044-1048
    PubMedSuche in Google Scholar
  • 21 Hurwitz D J, Zewert T. Body contouring surgery in the bariatric surgical patient.  Oper Tech Plast Reconstr Surg. 2002;  8 87-95
    PubMedSuche in Google Scholar
  • 22 Aly A S, Cram A E, Chao M, Pang J, McKeon M. Belt lipectomy for circumferential truncal excess: the University of Iowa experience.  Plast Reconstr Surg. 2003;  111 398-413
    PubMedSuche in Google Scholar
  • 23 Hurwitz D J, Rubin J P, Risin M, Sajjadian A, Sereika S. Correction of saddlebag deformity in the massive weight loss patient.  Plast Reconstr Surg. 2004;  114 1313-1325
    PubMedSuche in Google Scholar
  • 24 de Souza Pinto E B, Erazo P J, Matsuda C A et al.. Brachioplasty technique with the use of molds.  Plast Reconstr Surg. 2000;  105 1854-1860
    PubMedSuche in Google Scholar
  • 25 Bozola A R, Psillakis J M. Abdominoplasty: a new concept and classification for treatment.  Plast Reconstr Surg. 1988;  82 983-992
    PubMedSuche in Google Scholar
  • 26 Matarasso A. Abdominoplasty: a system of classification and treatment for combined abdominoplasty and suction-assisted lipectomy.  Aesthetic Plast Surg. 1991;  15 111-121
    CrossrefPubMedSuche in Google Scholar
  • 27 Nahas F X. An aesthetic classification of the abdomen based on the myoaponeurotic layer.  Plast Reconstr Surg. 2001;  108 1787-1795
    PubMedSuche in Google Scholar
  • 28 Psillakis J M. Plastic surgery of the abdomen with an improvement in the body contour: pathophysiology and treatment of the aponeurotic musculature.  Clin Plast Surg. 1984;  11 465-477
    PubMedSuche in Google Scholar
  • 29 Santos E, Muraira J. The waist and abdominoplasty.  Aesthetic Plast Surg. 1998;  22 225-227
    CrossrefPubMedSuche in Google Scholar
  • 30 Young S C, Freiberg A. A critical look at abdominal lipectomy following morbid obesity surgery.  Aesthetic Plast Surg. 1991;  15 81-84
    CrossrefPubMedSuche in Google Scholar
  • 31 Massiha H. Augmentation in ptotic and densely glandular breasts: prevention, treatment, and classification of double-bubble deformity.  Ann Plast Surg. 2000;  44 143-146
    PubMedSuche in Google Scholar
  • 32 Song A Y, Jean R D, Hurwitz D J, Fernstrom M H, Scott J A, Rubin J P. Classification of contour deformities after bariatric weight loss: the Pittsburgh rating scale.  Plast Reconstr Surg. 2005;  116 1535-1544
    PubMedSuche in Google Scholar
  • 33 Ching S, Thoma A, McCabe R E, Antony M M. Measuring outcome in aesthetic surgery: a comprehensive review of literature.  Plast Reconstr Surg. 2003;  111 469-480
    CrossrefPubMedSuche in Google Scholar

J. Peter RubinM.D. 

Division of Plastic Surgery, University of Pittsburgh

3550 Terrace Street, 6B Scaife Hall 680, Pittsburgh, PA 15261